Healthcare Provider Details

I. General information

NPI: 1508334251
Provider Name (Legal Business Name): RACHEL L RAMIRO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2018
Last Update Date: 11/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 OWEN DR
FAYETTEVILLE NC
28304-3419
US

IV. Provider business mailing address

1424 FOUR WOOD DR
FAYETTEVILLE NC
28312-7239
US

V. Phone/Fax

Practice location:
  • Phone: 910-323-3184
  • Fax:
Mailing address:
  • Phone: 217-899-3448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5011198
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: